Organization
COMMUNITY MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PARRIS L. ALLEN (OWNER/MANAGER)
(208) 520-4114
Entity
Organization
Contact information
Practice address
720 EAST LANDER ST, POCATELLO, ID 83201
(208) 478-2172
(208) 478-2174
Mailing address
720 EAST LANDER ST, POCATELLO, ID 83201
(208) 478-2172
(208) 478-2174
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
06/19/2009
Last updated
08/11/2025
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